| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Booth Rodderick Fredrick | Chief Financial Officer | C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE | /s/ Sam Seiberling, Attorney-in-Fact | 06 Oct 2025 | 0002077880 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | BRCB | Class B Common Stock | 349,826 | 12 Sep 2025 | Direct | F1 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | BRCB | LLC Units | 12 Sep 2025 | Class A Common Stock | 349,826 | Direct | F1, F2 |
| Id | Content |
|---|---|
| F1 | This amendment is being filed to correct the number of LLC Units and corresponding shares of Class B Common Stock beneficially owned by the Reporting Person at the time of the original Form 3 filing. The error also carried forward to the Reporting Person's Form 4 filed on September 15, 2025. As reported herein, on September 12, 2025, the Reporting Person beneficially owned 349,826 LLC Units and shares of Class B Common Stock. |
| F2 | The LLC Units may be redeemed by the Reporting Person at any time at the option of the holder for shares of Class A Common Stock on a 1-to-1 basis, and a corresponding number of shares of Class B Common Stock will be forfeited in connection with the redemption. The LLC Units have no expiration date. |